某院门诊不合理用药处方柏拉图分析与干预  

Pareto diagram analysis and intervention on irrational prescription in outpatient section of our hospital

作　　者：高扬[1] 杨军[1] 于保平[1] 刘洋[1] 邢晓璇[1] 姜德春[1] 

机构地区：[1]首都医科大学宣武医院药剂科,北京100053

出　　处：《中国医院药学杂志》2017年第2期169-171,共3页Chinese Journal of Hospital Pharmacy

基　　金：北京市卫生系统高层次卫生技术人才培养计划学科骨干项目(编号:2011-3-096)

摘　　要：目的:分析某院门诊不合理用药处方的情况及原因。方法:从计算机中筛选该院门诊处方,将不合理用药处方归为7类,用柏拉图法分析造成不合理用药处方的主要、次要及一般因素。结果:造成门诊不合理用药处方的主要因素:用法或用量不适宜,联合用药不适宜,遴选药物不适宜;次要因素:适应证不适宜;一般因素:重复用药、其他(包括皮试、缺项、处方选择等)和药品剂型或给药途径不适宜。结论:药师根据不合理用药类型有针对性地进行干预和药学服务,提高合理用药水平。OBJECTIVE To analyze the situation of irrational drug use in our hospital. METHODS The irrational prescrip- tions were classified into 7 types. The Pareto diagram analysis was used to make irrational prescriptions classification. The pri- mary, secondary and common factors were analyzed. RESULTS The primary factors about irrational prescriptions were im- proper usage, dosage, combination therapy, and inappropriate select drugs. The secondary factors were inappropriate indica- tions. Common factors were repeated administration, other reasons （including skin test, lacunary, prescription selections, etc. ）, unsuitable dosage form. CONCLUSION Pharmacist should intervene effectively according to irrational types to raise the level of rational drug use.

关 键 词：门诊不合理用药 处方 柏拉图分析 

分 类 号：R969[医药卫生—药理学]